Management of Emergency Department Overcrowding (EDOC) in a Teaching Hospital

Emergency Department Overcrowding (EDOC)
Vol. 8 No. 1 : 2013 (42-46)

NIK AZLAN NM NIK AZLAN NM
Ismail MS Ismail MS
AZIZOL M AZIZOL M

Abstract
Emergency Department Overcrowding (EDOC) has been a longstanding problem. It is defined as a situation where the demand for emergency services exceeds the ability of an Emergency Department (ED) to provide quality care within appropriate time frames. Hospital beds closure or access block to ward admission is one of the most important cause of Emergency s e.g. disaster. A surge response entails even greater responses including implementing Department overcrowding. This could be compounded further in events of a patient surge eg affirmative measurement in order to mitigate the issue in tackling the situation. The steps in managing EDOC were: 1. Recognizing EDOC, 2. Initiating action, 3. Maintaining patient flow, 4. Setting clinical goals and 5. Deploying a Surge Team for Advance Triage or Fast Tract.
Keywords : emergency department, hospital beds, overcrowding, surge,
Abstrak
Kesesakan Jabatan Kecemasan (EDOC) telah menjadi masalah yang tidak pernah selesai. Ia ditakrifkan sebagai permintaan perkhidmatan kecemasan melebihi keupayaan Jabatan Kecemasan (ED) untuk menyediakan penjagaan yang berkualiti dalam kadar masa yang sesuai. Penutupan wad hospital atau penyekatan akses untuk menahan kemasukan pesakit adalah salah satu punca yang penting dalam menyebabkan kesesakan Jabatan Kecemasan. Keadaan ini menjadi semakin teruk dalam situasi bencana. Kaedah yang tertentu perlu dirangka untuk mengatasi masalah ini. Langkah-langkah dalam menguruskan EDOC adalah: 1. Mengenalpasti EDOC, 2. Memulakan tindakan, 3. Membaikpulih aliran pesakit, 4. Menetapkan matlamat rawatan pesakit dan 5. Menggerakkan sebuah pasukan untuk Pendahuluan triage atau laluan cepat.
Kata Kunci : bencana, Jabatan Kecemasan, katil hospital, Kesesakan,

Correspondance Address
Dr. Nik Azlan Nik Muhamad, Department of Emergency Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latiff, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia. Tel: 03-91455703 Fax: 03-91456577 Email: nikazlanmuhamad@hotmail.com